WMAN » Mini-Grant Application

1. Application Type

Select one of the following: *

We are a U.S.-based organization applying using our own EIN, entered below.

We are a U.S.-based organization applying using a fiscal sponsor\'s EIN, entered below.

We are a Canada-based organization (enter \"n/a\" below).

EIN (US-based organizations only) *

Canada-based organizations enter \"n/a\".

2. Contact Information

Organization Name *

Contact Person *

This person will be our primary contact during the application period and responsible for all reporting.

Address *

Apt, suite, etc.

Country

City

State

Zip code

Phone *

Email *

Website *

Organization Name *

Contact Person *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Phone *

Email *

Website *

3. Brief Summary

Summarize your request for grant assistance in 1-2 sentences. *

4. Indigenous Leadership

Is your organization Indigenous-led? *

Yes.

No.

We aim to provide at least 50% of our grants to groups that are indigenous-led; this means that decision-making power and leadership is held by Indigenous Peoples.

5. History

Please provide a short history of your organization (mission, goals, when founded, quick summary of leading projects, etc.). *

Does not apply to the fiscal sponsor organization. Limit: 150 words..

6. Project Description

Please provide a short description of the project proposed for this grant. *

Detail specifically how these program funds will be used. Please include how this project deals with the impacts of mining activity, and what you expect the long-term benefits of your project will be. Include a timeline if possible. Limit: 300 words..

7. Organizational Budget and Portion of Total Budget Dedicated to Mining work:

What is your organization\'s overall yearly budget? *

If different from your overall yearly budget, what amount is dedicated to mining-related work? *

For example, your organization may work on many issues with a budget of $100,000, but perhaps your mining-related work is just $5,000 of that budget.

8. Project Budget

Please paste or type an itemized budget for the project on which you would like to use your grant. See the example below. *

Example

Budget Item, Request to IEN/WMAN, Additional in-kind & other funding, Total

1. Consultant, $250, Donating 10 hours, $250 + 10hrs in-kind

2. Travel, $500, Donated car use, $500 + donated car use

3. Supplies, $750, Donated paint, $750 + donated paint

4. Lodging/meals, $1,000, $1,000 donated from Tribe X, $2,000

9. Other Funding Source

If you have another committed or potential funding source for this project, please enter it here.

Source *

Amount *

10. Issue Collaborations

If there are other groups in your area working on the project issue for which you are requesting funding, please explain how you overlap, collaborate, and/or are unique from those groups. *

This is particularly relevant if partner groups are applying for funding from the IEN/WMAN mini-grant. Limit: 150 words.

11. Additional Information

How have you participated in WMAN and/or IEN events, conferences, projects, actions, etc.? *

Are you a member of any of WMAN’s or IEN’s email list serves? *

Yes, I\'m a member.

No, but I\'d like to be added.

No, and I\'m not interested.

Do you want to be listed on WMAN’s public database? *

Yes.

No.

Database found at https://wman-info.org/participants

How did you hear about the mining mini-grant program? *

12. Previous Mining Mini-Grants Funding

Have you received funding from the mining mini-grant program previously? *

Yes.

No.

If you answered yes above, when did you receive it? *

If you have received funds previously, please make sure that you have submitted a short report to us on that previous grant.

13. References

Please provide the names and contact information of two people not in your organization who can provide us with a reference (if asked) on the quality of your organization and/or this project for which you are proposing funding support.

Name *

Phone *

Email *

Name *

Phone *

Email *

14. For $5,000 Grant Application Only

Please explain how an additional $2,000 would aid your project in countering and/or minimizing regressive policies, regulations, laws or decisions made by Local, State, Provincial, Tribal, First Nations, or Federal agencies/administrations. *

Limit: 600 words.

Will additional funding for your project directly benefit multiple organizations, tribes and communities? If so, tell us how. *

Please paste or type an itemized budget listing expenditures for the additional $2,000 or less. *